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Walking the Gemba

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on 25 August 2014

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Transcript of Walking the Gemba

Walking the Gemba
IQS T ls
Walking the Gemba
Direct Observation
Observation of the Current State
Principle
Culture
Tool
Skill
Specific goal
Value Stream Perspective
Going to the Gemba denotes the action of going to see the place where value is added.
Leadership promotes IQS becoming a part of our everyday work life.
Direct Observation:
Observation is a skill that must be practiced
Observing what is currently going on under today's conditions with the goal of understanding it and formulating a trend.
Walking The Gemba
Rounding
Make sure everything is going as planned
Process Family
Think of a specific input source and follow it all the way to the end
Time observation form
Spaghetti Diagram
A3
5 Whys/Root cause analysis
Created your own D.O. form
Work Flow Diagram
Value Stream Map
SOPs
Stop Watch
Your own Eyes, Ears and Mouth
Tools that can be used with D.O. to achieve specific goal or purpose of your D.O.
Waste Identification Form
Going
Often
to the place where the work is done.
Encourages staff to be proactive
Facilitates: (engagement/empowerment/feeling of being valued and respected)
Recognize the value of Walking the Gemba
Prioritize

your time to allow for Walking the Gemba.
Use your legs to get you to the Gemba
See the truth
To see the truth you have to be at the Gemba
Be seen
Often

Encourage accountability
Recognize the value of seeing the truth vs. looking at data.
Make metrics visible
Visually see what is going on with an unbiased eye
Visually take in the current state
Validate what you think you see with staff and create learning opportunities.
Don't focus in on a specific problem. Stand back and take in the big picture.
Listening to staff will make them feel valued and respected
Empowers and engages
Listen for:
Confusion, frustration, and level of understanding
Key phrases
That is just how...
I don't know
It depends...
"BUT"
Turn them into "ah ha" moments
Getting staff's perspective:
Promotes growth and understanding
Empowers/engages
Speak the language of your staff
Ask the right questions to facilitate learning and promote problem solving
Never do harm
Don't MBWA
Don't Provide solutions
Live our Mission, Vision, Values
Empower and engage
Create the desire in staff to be apart of the culture
Become problem solvers
Reach out thank those involved in the process
Let the them know what they are doing right
Embrace the whole
Processes and People
Recognize that Walking the Gemba goes beyond sniffing out waste.
Allowing Discovery
Identify waste to be able to facilitate discovery
Waste Stinks
IQS: Principles
1. Specify what adds value from the customers perspective
2. Identify all the steps in a process
3. Make the process flow
4. Make only what is demanded (pulled) by the customer
5. Strive for perfection by continually removing waste
6. Standardize everything (create a baseline)

At first our legs might seem weak but visiting the Gemba often will make them strong.
Full Body Approach

Natural disaster check (are we walking the Gemba enough)
Could you go to the front line and fill in.

Vital to the problem solving process
Designed to establish a current state
Method to gather data first hand
Purpose is to understand the work process, ask questions, learn and facilitate discovery.
It is a fundamental part of IQS culture.
Empowers and engages employees to become self-sustaining problem solvers.
Living Intermountain Healthcare's Mission, Vision, Values
Observation of the Current State
Direct Observation
Walking the Gemba
Sustainability of the culture
IQS Engagement
Project and process
To achieve a culture of self-sustaining problem solvers, leaders must Walk the Gemba and directly observe the processes with the goal of understanding the current state.
vs.
Time observation Direct observation
Skill
Goal
Culture

Follow your instincts
What is the value of letting mistakes happen.
Recognize if the process is putting patient or employees at risk
Go watch and listen
Engage and empower
Return and reflect
Learn
Repeat
Full transcript